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Primer to Action
Understanding the Social Determinants of Health & Chronic Disease
CPHA June 2008, Connie Clement
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Why such a resource?
Wide-spread awareness of and concern about social determinants of health in public and community health
Desire to move beyond rhetoric in planning documents
Frequent barriers to taking action Health practitioners, volunteers, community
members seeking ideas and pathways to action
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Phase 1
Project partners: Health Nexus, Ontario Chronic Disease Prevention Alliance, and Canadian Cancer Society – Ontario Division
Funded by all 3 partners & the Public Health Agency of Canada – Ontario and Nunavut
Develop the resource
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Phase 2
Test, apply and revise Primer document Educate non-traditional Ontario health
intermediaries & support chronic disease prevention alliance members to integrate SDOH into their work
Disseminate the workbook and project learning
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clinicians
"Heart disease is caused by hypertension, family history, and a build-up of arterial plaque.”
Lifestyle focus
"Heart disease is caused by smoking, physical inactivity, excess alcohol consumption and a high fat diet.”
Determinants focus
"Heart disease is caused by stress, poverty, unemployment and social
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Where do I fit in?
First two sections link workbook-user to major concepts and understanding of SDOH
Table that helps analyze variable roles if you’re staff, management, board or community member
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Income, employment, housing, food, education, inclusion
Selected 6 key determinants
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Each section contains
One page summary about the determinant and health – what we know currently
Find out more page Learn from others page Table to analyze what’s possible
depending upon jurisdiction: federal, provincial, local/region, organizational
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Federal Provincial Local Organizational
What role does each play?
Who needs to be influenced?
Who can be your allies?
What actions can you take?
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Workshops
Educate about SDOH, and link to chronic disease
Engage participants from various organizations and backgrounds – create network opportunity
Share ideas, experiences & how to use the Primer in participants’ work
Test, apply & help revise the Primer
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Evaluation
Assessment with advisory committee Workshop participants – questionnaires,
on-line survey; 2 post-workshop focus groups
Selected key informant reviewers of the workbook overall and specific sections
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To download the Primer
Health Nexus www.healthnexus.ca OR www.nexussante.ca
Ontario Chronic Disease Prevention Alliance
www.ocdpa.on.ca